KUMARA S. PEDDAMATHAM, MD, PA (NPI# 1073838314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073838314 |
| Entity Type | Organization |
| Organization Name | KUMARA S. PEDDAMATHAM, MD, PA |
| Practice Address |
1601 Main St Ste 401 Richmond TX 77469-3247 |
| Practice Telephone | 2813429530 |
| Practice Fax Number | 2813429564 |
| Mailing Telephone | 2813429530 |
| Mailing Fax Number | 2813429564 |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-08-20 |
| Authorized Official Name | KUMARA S PEDDAMATHAM (PRESIDENT) |
| Authorized Official Telephone | 2813429530 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G4378 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
1601 MAIN ST STE 401 |
| City | RICHMOND |
| State | TX |
| Zip Code | 77469-3247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255335501 | Mayank K Parikh | Internal Medicine | 1601 Main St, Ste 400, Richmond, TX 77469-3244 | 2005-06-01 |
| 1578102000 | Comme Cardiovascular Pllc | Clinic/Center | 1601 Main St, Richmond, TX 77469-3247 | 2020-01-01 |
| 1912365628 | Richmond Gi Pathology Pllc | Clinical Medical Laboratory | 1601 Main St, Suite 401 B, Richmond, TX 77469-3247 | 2016-02-09 |
| 1932537925 | Debbie Banks | Nurse Practitioner | 1601 Main St, Suite 500, Richmond, TX 77469-3247 | 2013-10-29 |
| 1548697873 | Katy Guest Jones | Dentist | 1601 Main St, Suite 307, Richmond, TX 77469-3247 | 2013-10-01 |
| 1417201930 | Zsz Enterprise Inc | Pharmacy | 1601 Main St, Ste 106, Richmond, TX 77469-3247 | 2012-11-06 |
| 1174848428 | Richmond Gastroenterology Associates, Pllc | Internal Medicine | 1601 Main St, Ste 401, Richmond, TX 77469-3247 | 2010-03-30 |
| 1801024542 | Uttam Tripathy Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1601 Main St, Suite 500a, Richmond, TX 77469-3247 | 2009-07-01 |
| 1568600971 | Froilan Martin Francisco | Internal Medicine | 1601 Main St, Suite 306, Richmond, TX 77469-3247 | 2009-01-23 |
| 1316111370 | Lisa Marie Wilson | Physical Therapist | 1601 Main St, Suite 602, Richmond, TX 77469-3247 | 2008-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992325328 | Nikki Bradley | Private Vehicle | 7902 Lake Commerce Drive, Rosenberg, TX 77469 | 2020-04-27 |
| 1508496993 | Vanessa Joyce Daniels | Counselor | 22155 Wildwood Park Road, 615, Richmond, TX 77469 | 2020-01-24 |
| 1881230183 | Tiffany Elaine Chen | Counselor | 22034 Rustic Canyon Lane, Richmond, TX 77469 | 2019-11-21 |
| 1265074199 | Laura Y Magana | Technician | 212 Mellon Street, Richmond, TX 77469 | 2019-10-11 |
| 1629626155 | Kofi Assenso-onyinah | Registered Nurse | 8111 Baccharis Road, Richmond, TX 77469 | 2019-08-28 |
| 1740759182 | Houssam Mahmoud Mozeyen | Nurse Practitioner | 5719 Indigo Trails Dr, Richmond, TX 77469 | 2018-11-15 |
| 1205317302 | Amarachi Peace Okafor | Registered Nurse | 22018 Rustic Canyon Ln, Richmond Tx, TX 77469 | 2018-08-27 |
| 1649750969 | Brazos Hybrid Pharmacy LLC | Pharmacy | 545 Fm 2977 Road Suite 110, Rosenberg, TX 77469 | 2018-08-16 |
| 1104303437 | Richmond Rx LLC | Pharmacy | 1100 Jackson Street, Suite D, Richmond, TX 77469 | 2018-07-19 |
| 1962988766 | Allcare Mental Health Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 6419 Granite Springs Ln, Richmond, TX 77469 | 2018-07-15 |
| Find all providers in zip 77469 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750739009 | Omer Shahab | Internal Medicine | Vcuhs Dept of Medicine Gastroenterology 980257, 1250 E. Marshall Street, Richmond, VA 23298-0459 | 2016-05-27 |
| 1578858155 | Mohammad Shadab Siddiqui | Internal Medicine | 1200 E. Broad Street, West Hospital, 14th Floor, Richmond, VA 23298 | 2011-06-13 |
| 1326350570 | Ben Persons Bradenham Jr. | Internal Medicine | 7611 Forest Ave Ste 410, Richmond, VA 23229-4946 | 2010-07-03 |
| 1306083696 | Andy Thanjan | Internal Medicine | 5855 Bremo Rd Ste 706, Richmond, VA 23226-1926 | 2009-01-08 |
| 1093854010 | Nitesh Vachhani | Internal Medicine | 1601 Main St Ste 401, Richmond, TX 77469-3244 | 2007-02-06 |
| 1639252109 | Robert E Mitchell IIi | Internal Medicine | 7605 Forest Ave Ste 211, Richmond, VA 23229-4940 | 2006-10-20 |
| 1144332727 | Wiley J Latham Md and Bernice G Latham Md Partners | Internal Medicine | 505 West Leigh St, Suite 301, Richmond, VA 23220 | 2006-08-31 |
| 1447271952 | Constantinos Adamantios Rozos | Internal Medicine | 4012 W Franklin St, Richmond, VA 23221-1106 | 2006-07-21 |
| 1942234497 | William Michael Pandak Jr. | Internal Medicine | Veterans Affairs Medical Center and Va Commonwealth U, Division of Gastroenterology,111-n, 1201 Broadrock Blvd, Richmond, VA 23249-0001 | 2006-07-10 |
| 1427093152 | Shweta Nagendra Joshi | Internal Medicine | 1630 Wilkes Ridge Pkwy Ste 202, Richmond, VA 23233-7460 | 2006-06-17 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.